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Pittsburgh Sleep Quality Index (PSQI)

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Pittsburgh Sleep Quality Index (PSQI)
1

How often have you had trouble sleeping because you cannot get to sleep within 30 minutes?

Select the option that best describes your situation.
2

Rate your sleep quality over the past month

Rate your sleep quality on a scale of 1 to 10, with 1 being poor and 10 being excellent.
3

During the past month, how often have you taken medicine to help you sleep?

Answer with a simple 'yes' or 'no'.
4

How satisfied/dissatisfied are you with your current sleep patterns?

Choose the option that best reflects your feelings.
5

How often have you had trouble staying awake while driving, eating meals, or engaging in social activity over the past month?

Select the frequency that matches your experience.
6

During the past month, how often have you had trouble remembering what happened during the day or week because of your sleep problems?

Select the frequency that best describes your experience.
7

How often have you had trouble sleeping because you wake up in the middle of the night or early morning?

Select the option that best describes your situation.
8

How often have you had trouble sleeping because you need to get up to use the bathroom?

Select the option that best describes your situation.
9

Overall, how would you rate your sleep quality over the past month?

Answer based on your overall impression.
10

In the past month, how often have you had trouble sleeping because of coughing or snoring loudly?

Select the frequency that best matches your experience.